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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406216506
Report Date: 10/03/2025
Date Signed: 10/03/2025 02:27:58 PM

Document Has Been Signed on 10/03/2025 02:27 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:SAN LUIS OBISPO CLASSICAL ACADEMYFACILITY NUMBER:
406216506
ADMINISTRATOR/
DIRECTOR:
MERIDETH EADESFACILITY TYPE:
830
ADDRESS:110 GRAND AVE.TELEPHONE:
(805) 548-8700
CITY:SAN LUIS OBISPOSTATE: CAZIP CODE:
93405
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 7DATE:
10/03/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Merideth EadesTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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On 10/03/2025, at 9:45 AM, Licensing Program Analyst (LPA) Shane Loftus conducted an unannounced Case Management Inspection of the above-mentioned Child Care Center (CCC) as a follow up to an Unusual Incident Report (UIR) received by the Department on 09/11/2025. LPA notes the incident occurred on 11/07/2024. Circumstances of the UIR involved a CCC teacher (S1) handling a child (C1) in an inappropriate manner. The UIR also alleges that S1 falsified details of an incident where a child (C2) was bitten by another child (C3).

The LPA met with Merideth Eades, Director of the CCC and explained the purpose of the inspection. The LPA, in the company of Director, toured the interior and exterior of the CCC. LPA observed seven (7) children on site during the inspection along with three (3) teachers.

Upon discussing the UIR with the Director, LPA was informed that teachers (S2, S3, and S7) reported observing C1 having a difficult time eating and sleeping. The report details S1 forcefully feeding C1 in an attempt to calm C1 down. When that did not work, the report details S1 used her hands in a forceful manner in an attempt to make the child sleep/nap. The information provided by the Director was in accordance with the information provided in the UIR. LPA notes that the Director and S6 never witnessed this behavior from S1.

The UIR also alleges that S1 falsified details of an incident in which C3 bit C2. The UIR explains that S2 and S4 witnessed C3 bite C2.

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Shane Loftus
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: SAN LUIS OBISPO CLASSICAL ACADEMY
FACILITY NUMBER: 406216506
VISIT DATE: 10/03/2025
NARRATIVE
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S3 then came into the classroom when S2 and S4 were talking about the incident and inquired if an incident report had been made. S2 and S4 informed S3 that no report was made. S3 then requested S2 to do an incident report and for S1 to inform the parents of C2. S2 then explained to S1 the details of what she saw. S2 states that S1’s version of the incident reported to C2’s parents was intentionally inaccurate and S1 requested that S2 adjust her incident report to match S1’s version. Director informed LPA that she did not witness these events. Director informed LPA that S1 was put on a performance improvement plan and had weekly meetings with administration. Director informed LPA that S1’s employment with the CCC ended in May of 2025 after multiple complaints were made regarding S1’s treatment of the children in care.

Pursuant to Title 22 of the California Code of Regulations, the following Type A deficiency is cited (refer to LIC 809-D). Upon receipt of this report, Director shall post and provide copies of this licensing report to parents /guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months.

Director/ CCC to provide LIC 9224 for each child in care, have each parent sign the form that they have received a copy of the report LIC 809 and LIC 809 D and maintain the signed forms in the facility files. Director was provided with the LIC 9224 form. The Director was provided a copy of their Appeal Rights (LIC9058) and their signature on this form acknowledges receipt of these rights.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Shane Loftus
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/03/2025 02:27 PM - It Cannot Be Edited


Created By: Shane Loftus On 10/03/2025 at 12:35 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: SAN LUIS OBISPO CLASSICAL ACADEMY

FACILITY NUMBER: 406216506

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/06/2025
Section Cited
CCR
101223(a)(3)

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101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights:(3)To be free from...unusual punishment...or other actions of a punitive nature including but not limited to: interference with functions of daily living...
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Director will submit a written statement to CCLD (shane.loftus@dss.ca.gov) explaining how staff will be trained/informed on how to accomodate children's personal rights.
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including eating, sleeping...
This requirement was not met as evidenced by. Based on interview, the licensee did not comply with the section cited above in that S1 used force in an attemot to have C1 sleep/rest.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Maria Mueller
NAME OF LICENSING PROGRAM MANAGER:
Shane Loftus
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/03/2025


LIC809 (FAS) - (06/04)
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